7-HSS-26-028 - PROMISE Mental Health Group Homes- Attachment 5 - Business References Form.docx
DOCX document 127 KB Posted
- Attached to
- PROMISE Mental Health Group Homes
- Solicitation number
- HSS-26-028
- Issued by
- Delaware
About this file
This document is a Business References Form from the Delaware Health and Social Services Division of Substance Abuse and Mental Health for Contract No. HSS-26-028, titled "PROMISE Mental Health Group Homes". The form requires potential bidders to provide a minimum of three business references, including business name, contact information, years of business association, and type of work performed. The document strictly prohibits listing state employees as references and requires separate documentation for any state contracts held within the past five years.
The form is a standard qualification document for a mental health group homes contract, designed to validate a vendor's professional experience and track record. It provides a structured template for vendors to demonstrate their professional credentials and past performance, which will likely be used as part of the overall evaluation criteria for the contract award. The reference requirements suggest a rigorous vetting process for potential service providers in the mental health group home sector, with an emphasis on verifiable professional experience and established business relationships.
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Other files
| File | Type | Posted |
|---|---|---|
| 3-HSS-26-028 Appendix D - Templates Sample Agreements.docx | DOCX document | |
| 8-HSS-26-028 - PROMISE Mental Health Group Homes - Attachment 6 - Subcontractor Information Form.docx | DOCX document | |
| 2-HSS-26-028 Appendix C BudgetTemplate SUPTRS.xls | XLS spreadsheet | |
| 6-HSS-26-028 - PROMISE Mental Health Group Homes Attachment 4 - Confidential Information Form.docx | DOCX document | |
| 4-HSS-26-028- Attachment 2 - Non-Collusion Stmt.docx | DOCX document | |
| 5-HSS-26-028 - Attachment 3 - Exceptions Form.docx | DOCX document | |
| 1-RFP HSS-26-028 PROMISE Mental Health Group Homes.docx | DOCX document |
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Text version
Delaware Health and Social Services
Division of Substance Abuse and Mental Health d
Delaware Health and Social Services
Division of Substance Abuse and Mental Health d
Attachment 5
Contract No. HSS-26-028 Contract Title: PROMISE Mental Health Group Homes
BUSINESS REFERENCES
List a minimum of three business references, including the following information:
· Business Name and Mailing address
· Contact Name and phone number
· Number of years doing business with
· Type of work performed Please do not list any State Employee as a business reference. If you have held a State contract within the last 5 years, please provide a separate list of the contract(s).
| 1. |
| Contact Name & Title: |
Business Name:
Address:
Email:
Phone # / Fax #:
Current Vendor (YES or NO):
Years Associated & Type of Work Performed:
| 2. |
| Contact Name & Title: |
Business Name:
Address:
Email:
Phone # / Fax #:
Current Vendor (YES or NO):
Years Associated & Type of Work Performed:
| 3. |
| Contact Name & Title: |
Business Name:
Address:
Email:
Phone # / Fax #:
Current Vendor (YES or NO):
Years Associated & Type of Work Performed:
STATE OF DELAWARE PERSONNEL MAY NOT BE USED AS REFERENCES.
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